| NPI | 1114124021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: KY 44304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN11519) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2023-03-07 |